Individual
ANDRUMEDIA ARTI FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 ALBANY TPKE STE 209, CANTON, CT 06019-2549
(860) 693-4060
(860) 693-6435
Mailing address
2001 BUTTERFIELD RD STE 300, DOWNERS GROVE, IL 60515-1069
(630) 725-2730
(844) 205-5691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003386
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003386
CT STATE LICENSE
CT
Enumeration date
07/23/2015
Last updated
03/27/2018
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